Few studies evaluate the amount of particulate matter less than 2.5 mm in diameter
(PM2.5) in relation to a change in lung function among adults in a
population. The aim of this study was to assess the association of coal as a domestic
energy source to pulmonary function in an adult population in inner-city areas of
Zunyi city in China where coal use is common. In a cross-sectional study of 104
households, pulmonary function measurements were assessed and compared in 110 coal
users and 121 non-coal users (≥18 years old) who were all nonsmokers. Several
sociodemographic factors were assessed by questionnaire, and ventilatory function
measurements including forced vital capacity (FVC), forced expiratory volume in 1 s
(FEV1), the FEV1/FVC ratio, and peak expiratory flow rate
(PEFR) were compared between the 2 groups. The amount of PM2.5 was also
measured in all residences. There was a significant increase in the relative
concentration of PM2.5 in the indoor kitchens and living rooms of the
coal-exposed group compared to the non-coal-exposed group. In multivariate analysis,
current exposure to coal smoke was associated with a 31.7% decrease in FVC, a 42.0%
decrease in FEV1, a 7.46% decrease in the FEV1/FVC ratio, and a
23.1% decrease in PEFR in adult residents. The slope of lung function decrease for
Chinese adults is approximately a 2-L decrease in FVC, a 3-L decrease in
FEV1, and an 8 L/s decrease in PEFR per count per minute of
PM2.5 exposure. These results demonstrate the harmful effects of indoor
air pollution from coal smoke on the lung function of adult residents and emphasize
the need for public health efforts to decrease exposure to coal smoke.
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